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MAGNOLIA RANCH RECOVERY LLC
NPI 1902331929
Substance Abuse Rehabilitation Facility in Pulaski, TN

Active since April 27, 2017CLIA Certified · 2 labs
111 STRIPMINE RD, PULASKI, TN 38478(931) 425-6303(866) 318-9108 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 22, 2023, May 18, 2023, Sep 28, 2022 and 2 more (5 updates tracked since 2017).

About Magnolia Ranch Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA RANCH RECOVERY LLC (NPI 1902331929) is a healthcare organization registered as a substance abuse rehabilitation facility in Pulaski, Tennessee and active in the NPI registry since April 2017. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Peter Dacchille, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902331929
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMAGNOLIA RANCH RECOVERY LLC
Location Address111 STRIPMINE RDPulaski, TN 38478-8182
Mailing Address1020 E College StPulaski, TN 38478-4547 · (931) 425-6303
Phone(931) 425-6303
Fax(866) 318-9108
Organization SubpartNo
Authorized OfficialPeter DacchilleCeo · (786) 308-1676
Enumeration DateApril 27, 2017
Last NPPES UpdateJune 26, 20235 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1902331929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
111 STRIPMINE RD, Pulaski, TN 38478
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Secondary Practice Locations 2

Location 139 Stevens Hollow RdTaft, TN 38488-5269 · Phone (931) 425-6303
Location 2115 stripmine rdpulaski, TN 38478-8182 · Phone (931) 347-4966 · Fax (866) 318-9108

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2286948

Magnolia Ranch Recovery LLC · Pulaski, TN
Active · expires Aug 6, 2027
CLIA Number44D2286948
Laboratory TypeInpatient Substance Treat
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorMihaela S. Harshfield
Laboratory Phone(931) 425-6303
Laboratory LocationMagnolia Ranch Recovery LLC115 Stripmine Road, Pulaski, TN 38478
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2130696

Magnolia Ranch Recovery LLC · Pulaski, TN
Active · expires May 15, 2027
CLIA Number44D2130696
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorTimothy Brennan
Laboratory Phone(931) 425-6303
Laboratory LocationMagnolia Ranch Recovery LLC111 Stripmine Road, Pulaski, TN 38478
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Ranch Recovery LLC's NPI number?

The NPI number for Magnolia Ranch Recovery LLC is 1902331929. It was assigned to this organization in the NPPES registry on April 27, 2017.

Where is Magnolia Ranch Recovery LLC located?

Magnolia Ranch Recovery LLC is located at 111 Stripmine Rd, Pulaski, TN 38478. The listed phone number is (931) 425-6303.

What is Magnolia Ranch Recovery LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Magnolia Ranch Recovery LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Magnolia Ranch Recovery LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Magnolia Ranch Recovery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Magnolia Ranch Recovery LLC was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.